Dr Marshall A Dispenza, DC | |
4708 Falcon St, Rockville, MD 20853-3427 | |
(240) 441-4730 | |
Not Available |
Full Name | Dr Marshall A Dispenza |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 20 Years |
Location | 4708 Falcon St, Rockville, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699897991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 03435MD (Maryland) | Primary |
111N00000X | Chiropractor | 01045596328 (Virginia) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Llc | 4385682061 | 1223 |
Provider Name | Privia Medical Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Provider Name | Proactive Chiropractic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609196658 PECOS PAC ID: 3476684333 Enrollment ID: O20100622000376 |
Mailing Address | Practice Location Address |
---|---|
Dr Marshall A Dispenza, DC 11214 Old Georgetown Rd, N Bethesda, MD 20852-3202 Ph: (240) 441-4730 | Dr Marshall A Dispenza, DC 4708 Falcon St, Rockville, MD 20853-3427 Ph: (240) 441-4730 |
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